Barriers to Chronic Disease Healthcare Access in Rural Eastern Cape Province, South Africa

Background: Inadequate access to healthcare in rural areas worsens the burden of disease, leading to increased morbidity and mortality rates. This study aims to explore the multifaceted barriers that hinder access to chronic disease management at selected rural facilities of the Eastern Cape Province. Methods: An exploratory descriptive qualitative design was used to collect data from a sample size of 32 participants (23 patients and 9 health professionals) between November and December 2024. A convenient sampling technique was used to select participants for the study. Semi-structured interviews were audio-recorded; transcribed; and analyzed using thematic analysis. The interview tool was piloted in one of the primary healthcare facilities in the Eastern Cape, which was not used in the actual study. Ethical principles were adhered to throughout the study. The study adhered to the Access to Healthcare conceptual framework. Results: The study identified three themes: barriers of access to healthcare services, experiences and perspectives, and existing strategies or interventions. Conclusions: Addressing systemic issues like workforce shortages, infrastructure deficits, and socioeconomic challenges in rural Eastern Cape requires a multifaceted approach, including strengthening community-based services and ensuring equitable resource distribution.